The overall goal of our project is to develop and refine an electronic patient portal-based (MyChart) intervention to promote more systematic recognition and evidence-based management of postmenopausal vulvovaginal symptoms in the primary care setting. We aim to examine the impact of this intervention on rates of patient-provider discussion about postmenopausal vulvovaginal symptoms, evaluation and treatment for symptoms, and improvement in symptom-specific outcomes at an urban academic medical center.